| NPI | 1528697588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEM CHARNVITAYAPONG Managing Member 772-283-4428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |